| City | Rank | 2026 Pop. ↓ | 2020 Pop. | Annual Change | Density (/mi²) | Area (mi²) | Type |
|---|---|---|---|---|---|---|---|
| Pikeville | 1 | 7,178 | 7,730 | -1.27% | 346 | 21 | City |
| Coal Run Village | 2 | 1,544 | 1,660 | -1.34% | 176 | 9 | City |
| Elkhorn City | 3 | 949 | 1,033 | -1.45% | 121 | 8 | City |
| Forest Hills | 4 | 446 | 435 | 0.45% | 1,543 | 0 | City |
Pikeville is the largest city in Pike County, with a population of 7,178.
Forest Hills is the smallest city in Pike County, with a population of 446.
There are 4 cities in Pike County, Kentucky.